Supplier
Evergreen RX INC
Evergreen RX INC was paid $701K by Medicaid between Apr 2020 and Jul 2024, across 5 billing codes. Its largest line is J0135, Injection, adalimumab, 20 mg — 65% of everything it billed.
33Billing provider infoEVERGREEN RX INC
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
33aNPI1346241700assigned 08/09/2005
33bProvider typePharmacy
28Total paid$701K
24GClaims521
24DCodes billed5
24AFirst – last monthApr 2020 – Jul 2024
Compared with peers
Next to other Pharmacy providers in California
Rank by total paid#15 of 179
Median peer was paid$2K
This provider vs. median398×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 134 | $278K | |
| 2021 | 267 | $423K | |
| 2023 | 29 | $0.00 | |
| 2024incomplete | 91 | $33.97 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0135 | Injection, adalimumab, 20 mg | 65% | 89 | 86 | $457K |
| J1438 | Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 30% | 117 | 115 | $208K |
| J0897 | Injection, denosumab, 1 mg | 5.1% | 164 | 157 | $36K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 76 | 63 | $29.12 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 75 | 63 | $27.95 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAKOPYAN, YURY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Complete Care Community Health Center, INC | South Gate, CA | $20.01M |
| Complete Care Community Health Center, INC | Monterey Park, CA | $58K |
| Complete Care Community Health Center, INC | Monterey Park, CA | $8K |
| Complete Care Community Health Center, INC | Los Angeles, CA | $4K |
| Complete Care Community Health Center, INC | Pasadena, CA | $0.00 |
| Complete Care Community Health Center, INC | Sherman Oaks, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.